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Individual
JENAE MICHELLE SUMMEROUR
Active
Individual
JENAE MICHELLE SUMMEROUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC204932
OR
225700000X
Massage Therapist
12844
OR
Other
Enumeration date
09/12/2012
Last updated
10/12/2021
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